Rhabdomyolysis associated with dengue fever-Favorable outcome in a biopsy proven patient.

Saumya Jakati; Megha S Uppin; Meena AK; Sundaram C

Volume : VIII, Issue : II, February - 2018

Rhabdomyolysis associated with dengue fever-Favorable outcome in a biopsy proven patient.

Saumya Jakati, Megha S Uppin, Meena Ak, Sundaram C

Abstract :

Background: Dengue viral infection has varied clinical presentation and rhabdomyolysis is rare.

Case presentation: A male patient presented with acute onset of fever, headache and myalgias of one week duration. On investigation, he had mild leucopenia, thrombocytopenia, microscopic hematuria, mildly elevated serum creatinine, myoglobinuria and markedly elevated creatine kinase. Dengue antibodies IgM were positive. Muscle biopsy showed marked myofiber necrosis without inflammation. Patient made complete recovery with hydration therapy and supportive care.

Conclusion: Rhabdomyolysis is reported to be the most severe form of muscle involvement, occurring in patients with dengue fever and is associated with high morbidity and mortality. Early diagnosis and treatment can prevent complications.